Poll: Aging US in denial about long-term care need

A new poll examined how people 40 and over are preparing for this difficult and often pricey reality of aging, and found two-thirds say they’ve done little to no planning.

In fact, 3 in 10 would rather not think about getting older at all. Only a quarter predict it’s very likely that they’ll need help getting around or caring for themselves during their senior years, according to the poll by the AP-NORC Center for Public Affairs Research.

That’s a surprise considering the poll found more than half of the 40-plus crowd already have been caregivers for an impaired relative or friend — seeing from the other side the kind of assistance they, too, may need later on.

Bowman has been a caregiver twice, first for her grandmother. Then after her father died in 2006, Bowman moved in with her mother, caring for her until her death in January. Yet Bowman has made few plans for herself.

“I guess I was focused on caring for my grandmother and mom and dad, so I didn’t really think about myself,” she said. “Everything we had was devoted to taking care of them.”

The poll found most people expect family to step up if they need long-term care — even though 6 in 10 haven’t talked with loved ones about the possibility and how they’d like it to work.

Bowman said she’s healthy now but expects to need help someday from her two grown sons. Last month, prompted by a brother’s fall and blood clot, she began the conversation by telling her youngest son about her living will and life insurance policy.

“I need to plan eventually,” she acknowledged.

Those family conversations are crucial: Even if they want to help, do your relatives have the time, money and knowhow? What starts as driving Dad to the doctor or picking up his groceries gradually can turn into feeding and bathing him, maybe even doing tasks once left to nurses such as giving injections or cleaning open wounds. If loved ones can’t do all that, can they afford to hire help? What if you no longer can live alone?

“The expectation that your family is going to be there when you need them often doesn’t mean they understand the full extent of what the job of caregiving will be,” Susan Reinhard, a nurse who directs AARP‘s Public Policy Institute, said. “Your survey is pointing out a problem for not just people approaching the need for long-term care, but for family members who will be expected to take on the huge responsibility of providing care.”

Those who have been through the experience of receiving care are less apt to say they can rely on their families in times of need, the poll found.

With a rapidly aging population, more families will be facing those responsibilities. Government figures show nearly 7 in 10 Americans will need long-term care at some point after they reach age 65, whether it’s from a relative, a home health aide, assisted living or a nursing home. On average, they’ll need that care for three years.

Despite the “it won’t happen to me” reaction, the AP-NORC Center poll found half of those surveyed think just about everyone will need some assistance at some point. There are widespread misperceptions about how much care costs and who will pay for it. Nearly 60 percent of those surveyed underestimated the cost of a nursing home, which averages more than $6,700 a month.

Medicare doesn’t pay for the most common types of long-term care. Yet 37 percent of those surveyed mistakenly think it will pay for a nursing home and even more expect it to cover a home health aide when that’s only approved under certain conditions.

One comment

Long-term care insurance gets more expensive the longer one waits to purchase it, but people who purchased it early with the promise that they can’t be dropped for any health reason are finding there’s another way they can be forced out.

Insurance companies go to the State and ask for across-the-board increases based on “hardship.” Someone who has been paying premiums (which are never small to begin with) for ten or twenty years is now closer to the time when long-term care may be needed. With pension dollars buying less and less as one ages, the insured is getting a double whammy and may reach a point when it is no longer possible to pay those premiums. The insurance company has thus reaped in money for the many years where their risk was lower and is relieved of possible claims now that the person is elderly.

The State should tell these insurance companies to cease and desist from raising premiums on long time policyholders and address their cost issues with products they are currently selling. Of course, they don’t want to do this because offering the lowest premiums possible brings in the most customers.

The insurance departments of all states should intervene in this, but I have yet to see any action taken on complaints I have made to the insurance department of New York State